CYTOMEGALOVIRUS RETINITIS AND CRYPTOCOCCUS MENINGITIS WITH PAPILITIS IN PAEDIATRIC AIDS PATIENT.
Background: The incidence of ocular complications in HIV-infected patients varies from 42% to 75% and some of these complications may lead to blindness. Here we report a rare case of retroviral disease with cytomegalovirus (CMV) retinitis in one eye and papillitis secondary to cryptococcus meningiti...
| Published in: | International Journal of Public Health & Clinical Sciences (IJPHCS) Vol. 7; no. 5; pp. 112 - 121 |
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| Main Authors: | , , , |
| Format: | case study pictorial Journal Article |
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Community Health Society Malaysia
2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147572451&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147572451 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22897577 LF9G jtl: International Journal of Public Health & Clinical Sciences (IJPHCS) issn: 22897577 maglogo: N pubinfo: dt: 2020 vid: 7 iid: 5 pid: 46694 pub: Community Health Society Malaysia artinfo: ui: 147572451 147572451 147572451 147572451 ppf: 112 ppct: 9 formats: tig: atl: CYTOMEGALOVIRUS RETINITIS AND CRYPTOCOCCUS MENINGITIS WITH PAPILITIS IN PAEDIATRIC AIDS PATIENT. aug: au: Chan Hui Tze Mansurali, Vanessa N. Wan Hitam, Wan-Hazabbah Tajudin, Liza Sharmini Ahmad affil: Department of Ophthalmology, School of Medical Sciences, Health Campus Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia sug: subj: Cytomegalovirus Retinitis Diagnosis Meningitis, Cryptococcal Diagnosis Optic Neuritis Diagnosis Acquired Immunodeficiency Syndrome In Adolescence HIV Infections In Adolescence Optic Neuritis Risk Factors Adolescence Female Cytomegalovirus Retinitis Drug Therapy Meningitis, Cryptococcal Drug Therapy Optic Neuritis Drug Therapy Ganciclovir Therapeutic Use Amphotericin B Therapeutic Use Heterocyclic Compounds Therapeutic Use Fluconazole Therapeutic Use Antiretroviral Therapy, Highly Active Ophthalmoscopy Adolescent: 13-18 years Female ab: Background: The incidence of ocular complications in HIV-infected patients varies from 42% to 75% and some of these complications may lead to blindness. Here we report a rare case of retroviral disease with cytomegalovirus (CMV) retinitis in one eye and papillitis secondary to cryptococcus meningitis in the other eye. Case Report: A 14 year old Malay girl who was diagnosed with AIDS since birth through vertical transmission presented with fever, headache, seizure and chronic poor vision in the right eye for about 8 months duration. She was on antiretroviral therapy (HAART). Visual acuity in the right eye was only perception to light and in the left eye was 6/9. Both anterior segments were unremarkable. Fundoscopy of the right eye showed generalised shallow retinal detachment and left swollen hyperaemic disc. Computed tomography (CT) scan of the brain was normal. Lumbar puncture opening pressure was normal as well. A diagnosis of retroviral disease with cryptococcal meningitis, right advanced CMV retinitis and left papillitis was made. Patient was treated with HAART regime, ganciclovir, amphotericin B, flucytosine and fluconazole. The papillitis responded well to treatment. However, the CMV retinitis persisted. Conclusion: In conclusion, AIDS patients are susceptible to multiple opportunistic infection that may co-exist with different severity in either eye. Prompt diagnosis and early medical intervention may preserve vision and improve life expectancy. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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